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Basic Respiratory Virus PCR Panel

New Jersey rates for HCPCS 87631

A molecular, genetic-based, laboratory test that checks a single respiratory sample for a small group of the most common viruses and other germs that cause cold, flu, or similar respiratory symptoms. It is a more limited version of a respiratory panel test, screening for fewer organisms than the broader multiplex versions.

Rates data updated July 2026.

How much does Basic Respiratory Virus PCR Panel cost?

$132

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $115 from a physician practice, and about $295 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$115$95.50 to $151
FacilityA hospital or hospital-owned outpatient department$295$186 to $776

How much rates vary

Facilitymedian $295 · 10th to 90th $132 to $1,549Professionalmedian $115 · 10th to 90th $78 to $186
$100$500$2K$10Kfacility $295professional $115

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$234.42
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$114.82
Typical High
$169.82
AmeriHealth
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$117.49
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162.18
Median
$316.23
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$151.36
Typical High
$331.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$151.36
Typical High
$269.15
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$10,471.29
Typical High
$25,118.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$112.20
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$141.25
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$177.83

Where New Jersey sits

The same service costs 2.8 times more in Nebraska than in Washington, DC. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 43rd of 51

$132

NE $302DC $107

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.